Exclusion from social relations in later life: Micro-and macro-level patterns and correlations in a european perspective

Thomas Hansen, Marcela Petrová Kafková, Ruth Katz, Ariela Lowenstein, Sigal Naim, George Pavlidis, Feliciano Villar, Kieran Walsh, Marja Aartsen

Research output: Contribution to journalArticlepeer-review


Older adults face particular risks of exclusion from social relationships (ESR) and are especially vulnerable to its consequences. However, research so far has been limited to specific dimensions, countries, and time points. In this paper, we examine the prevalence and micro-and macro-level predictors of ESR among older adults (60+) using two waves of data obtained four years apart across 14 European countries in the Survey of Health, Ageing and Retirement in Europe (SHARE). We consider four ESR indicators (household composition, social networks, social opportunities, and loneliness) and link them to micro-level (age, gender, socioeconomic factors, health, and family responsibilities) and national macro-level factors (social expenditures, unmet health needs, individualism, social trust, and institutional trust). Findings reveal a northwest to southeast gradient, with the lowest rates of ESR in the stronger welfare states of Northwest Europe. The high rates of ESR in the southeast are especially pronounced among women. Predictably, higher age and fewer personal resources (socioeconomic factors and health) increase the risk of all ESR dimensions for both genders. Macro-level factors show significant associations with ESR beyond the effect of micro-level factors, suggesting that national policies and cultural and structural characteristics may play a role in fostering sociability and connectivity and, thus, reduce the risk of ESR in later life.

Original languageEnglish
Article number12418
JournalInternational Journal of Environmental Research and Public Health
Issue number23
StatePublished - 25 Nov 2021

Bibliographical note

Publisher Copyright:
© 2021 by the author. Licensee MDPI, Basel, Switzerland.


  • Europe
  • Gender
  • Older adults
  • SHARE data
  • Social exclusion
  • Social relationships

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pollution
  • Health, Toxicology and Mutagenesis


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